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psnet.ahrq.gov/issue/fostering-just-culture-healthcare-organizations-experiences-practice
August 10, 2022 - Study
Fostering a just culture in healthcare organizations: experiences in practice.
Citation Text:
van Baarle E, Hartman L, Rooijakkers S, et al. Fostering a just culture in healthcare organizations: experiences in practice. BMC Health Serv Res. 2022;22(1):1035. doi:10.1186/s12913-022-0…
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psnet.ahrq.gov/issue/progress-made-towards-improving-opioid-safety-further-efforts-assess-progress-and-reduce-risk
May 16, 2018 - Book/Report
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed.
Citation Text:
Progress Made Towards Improving Opioid Safety, But Further Efforts to Assess Progress and Reduce Risk Are Needed. Washington, DC: United States Gov…
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psnet.ahrq.gov/issue/defense-health-agency-should-improve-tracking-serious-adverse-medical-events-and-monitoring
July 11, 2018 - Book/Report
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up.
Citation Text:
Defense Health Agency Should Improve Tracking of Serious Adverse Medical Events and Monitoring of Required Follow-up. Washington, DC: United St…
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psnet.ahrq.gov/issue/baccalaureate-nursing-students-accounts-medical-mistakes-occurring-clinical-setting
June 24, 2009 - Study
Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula.
Citation Text:
Noland CM. Baccalaureate nursing students' accounts of medical mistakes occurring in the clinical setting: implications for curricula. J Nurs …
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psnet.ahrq.gov/node/44793/psn-pdf
February 17, 2016 - The Sociology of Healthcare Safety and Quality.
February 17, 2016
Allen D, Braithwaite J, Sandall J, Waring J, eds. Sociol Health Illn. 2016;38(2):179-339.
https://psnet.ahrq.gov/issue/sociology-healthcare-safety-and-quality
The sociological approach to exploring safety has shown promise as a way to understand why …
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psnet.ahrq.gov/issue/prescription-opioids-medicare-needs-expand-oversight-efforts-reduce-risk-harm
December 06, 2017 - Book/Report
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm.
Citation Text:
Prescription Opioids: Medicare Needs to Expand Oversight Efforts to Reduce the Risk of Harm. Washington, DC: United States Government Accountability Office; October 201…
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psnet.ahrq.gov/issue/how-will-it-work-qualitative-study-strategic-stakeholders-accounts-patient-safety-initiative
September 02, 2009 - Study
How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative.
Citation Text:
Dixon-Woods M, Tarrant C, Willars J, et al. How will it work? A qualitative study of strategic stakeholders' accounts of a patient safety initiative. Qual Saf …
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psnet.ahrq.gov/issue/amid-lack-accountability-bias-maternity-care-california-family-seeks-justice
September 06, 2023 - Newspaper/Magazine Article
Amid lack of accountability for bias in maternity care, a California family seeks justice.
Citation Text:
Amid lack of accountability for bias in maternity care, a California family seeks justice. Kwon S. KFF Health News. August 8, 2023
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…
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psnet.ahrq.gov/issue/va-health-care-actions-needed-assess-decrease-root-cause-analyses-adverse-events
November 22, 2017 - Book/Report
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events.
Citation Text:
VA Health Care: Actions Needed to Assess Decrease in Root Cause Analyses of Adverse Events. Washington, DC: United States Government Accountability Office; July 29, 2015…
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psnet.ahrq.gov/issue/healthcare-scandals-and-failings-doctors-do-official-inquiries-hold-profession-account
November 13, 2019 - Review
Healthcare scandals and the failings of doctors: do official inquiries hold the profession to account?
Citation Text:
Mannion R, Davies H, Powell M, et al. Healthcare scandals and the failings of doctors. J Health Organ Manag. 2019;33(2):221-240. doi:10.1108/JHOM-04-2018-0126.
C…
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psnet.ahrq.gov/issue/infection-control-deficiencies-were-widespread-and-persistent-nursing-homes-prior-covid-19
April 29, 2020 - Book/Report
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic.
Citation Text:
Infection Control Deficiencies Were Widespread and Persistent in Nursing Homes Prior to COVID-19 Pandemic. Washington, DC: United States Government Accoun…
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psnet.ahrq.gov/node/45098/psn-pdf
May 04, 2016 - Reducing Risk and Promoting Patient Safety for NIH
Intramural Clinical Research—Final Report.
May 4, 2016
The Clinical Center Working Group Report to the Advisory Committee to the Director, National Institutes of
Health. Bethesda, MD; National Institutes of Health; April 2016.
https://psnet.ahrq.gov/issue/reducing…
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psnet.ahrq.gov/node/44874/psn-pdf
July 11, 2017 - Establishing an ambulatory medicine quality and safety
oversight structure: leveraging the fractal model.
July 11, 2017
Kravet SJ, Bailey J, Demski R, et al. Establishing an Ambulatory Medicine Quality and Safety Oversight
Structure: Leveraging the Fractal Model. Acad Med. 2016;91(7):962-6.
doi:10.1097/ACM.0000000…
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psnet.ahrq.gov/issue/patient-stories
March 27, 2024 - Multi-use Website
Patient Stories.
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March 6, 2013
This Web site hosts documentary accounts of medical errors to encourage clinici…
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psnet.ahrq.gov/issue/collaboration-regulators-support-quality-and-accountability-following-medical-errors
September 29, 2017 - Study
Collaboration with regulators to support quality and accountability following medical errors: the communication and resolution program certification pilot.
Citation Text:
Gallagher TH, Farrell ML, Karson H, et al. Collaboration with Regulators to Support Quality and Accountability …
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psnet.ahrq.gov/issue/americas-hospitals-improving-quality-and-safety-joint-commissions-annual-report-2016
November 10, 2016 - Book/Report
America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016.
Citation Text:
America's Hospitals: Improving Quality and Safety—The Joint Commission's Annual Report 2016. Oakbrook Terrace, IL: The Joint Commission; November 2016.
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psnet.ahrq.gov/issue/creating-high-reliability-health-care-system-improving-performance-core-processes-care-johns
January 27, 2016 - Study
Creating a high-reliability health care system: improving performance on core processes of care at Johns Hopkins Medicine.
Citation Text:
Pronovost P, Armstrong M, Demski R, et al. Creating a high-reliability health care system: improving performance on core processes of care at Jo…
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psnet.ahrq.gov/issue/emotional-impact-medical-error-involvement-physicians-call-leadership-and-organisational
June 14, 2023 - Review
The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountability.
Citation Text:
Schwappach DL, Boluarte TA. The emotional impact of medical error involvement on physicians: a call for leadership and organisational accountabi…
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psnet.ahrq.gov/print/pdf/node/866419
March 27, 2024 - PSNet
Curated Library
AHRQ: Agency for Healthcare Research and Quality
Artificial Intelligence: System-Level
Considerations
Curated Library
Foundations
Generative artificial intelligence, patient safety and healthcare quality: a review.
Howell MD. BMJ Qual Saf. 2024;33:748-754.
Artificial intelligence (AI) is…
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psnet.ahrq.gov/node/42705/psn-pdf
November 26, 2013 - Improving America's Hospitals: The Joint Commission's
Annual Report on Quality and Safety 2013.
November 26, 2013
Oakbrook Terrace, IL: The Joint Commission; October 2013.
https://psnet.ahrq.gov/issue/improving-americas-hospitals-joint-commissions-annual-report-quality-and-
safety-2013
This Joint Commission…